Provider Demographics
NPI:1790866853
Name:RIPLEY COUNTY FAMILY SERVICES
Entity type:Organization
Organization Name:RIPLEY COUNTY FAMILY SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBURGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-689-6363
Mailing Address - Street 1:PO BOX 766
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:IN
Mailing Address - Zip Code:47042-0766
Mailing Address - Country:US
Mailing Address - Phone:812-689-6363
Mailing Address - Fax:812-689-3762
Practice Address - Street 1:202 NORTH GASLIGHT DRIVE
Practice Address - Street 2:
Practice Address - City:VERSAILLES
Practice Address - State:IN
Practice Address - Zip Code:47042-9196
Practice Address - Country:US
Practice Address - Phone:812-689-6363
Practice Address - Fax:812-689-3762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty